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Missouri rates for HCPCS 25125

Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.85 / $606.94 / $947.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.27 / $797.91 / $1,156.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.58 / $828.26 / $1,287.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.64 / $953.54 / $4,774.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.79 / $885.22 / $5,361.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.74 / $758.44 / $1,218.96